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Pain Management in Trauma Patients

Cohen, Steven P. MD; Christo, Paul J. MD; Moroz, Lee MD

American Journal of Physical Medicine & Rehabilitation: February 2004 - Volume 83 - Issue 2 - p 142-161
doi: 10.1097/01.PHM.0000107499.24698.CA
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Cohen SP, Christo PJ, Moroz L: Pain management in trauma patients. Am J Phys Med Rehabil 2004;83:142–161.

Trauma is a major cause of mortality throughout the world. In recent years, major advances have been made in the management of trauma, the end result of which has been reduced mortality and enhanced function. One of these areas is pain control. Improved pain management has not only led to increased comfort in trauma patients, but has also been shown to reduce morbidity and improve long-term outcomes. This review focuses on the treatment of pain in the setting of acute injury and on pain management in trauma patients who go on to develop chronic pain. Emphasis is placed on pharmacologic interventions, invasive and noninvasive pain management techniques, analgesia in challenging patients, and pain control in commonly encountered trauma conditions.

From the Pain Management Center, Department of Anesthesiology (SPC), and the Department of Physical Medicine and Rehabilitation (LM), New York University School of Medicine, New York, New York; the Pain Management Center, Department of Anesthesiology and Critical Care, Johns Hopkins School of Medicine, Baltimore, Maryland (PJC).

All correspondence and requests for reprints should be addressed to Steven P. Cohen, MD, 317 East 34th Street, Suite 902, New York, NY 10016.

© 2004 Lippincott Williams & Wilkins, Inc.